Pain and suffering in coaching and supervision can show up in coaching in the form of bereavement, infertility issues, mental illness, divorce, etc. but not necessarily as the main focus of the coaching itself. Hobbs also believes that coaches are experiencing more and more clients with the topic of pain, grief, and suffering, as people are more likely now to employ coaches rather than therapists. Performance coaching for executives/managers/leaders can often involve support for balancing work and home life as a conduit for increased effectiveness at work, although not always the central focus of the work. Executive coaches can and should pay attention to significant losses impacting their clients even if they are not classic bereavement situations via death. Coaching clients may present with issues such as low self-esteem, poor motivation, and work performance issues even though the focus may be setting goals and achieving results within a short to medium-term time frame.